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,, (Circle One)Constable/Justice the PeaceOfWard/District 7c, Y, d, E
/LouisianaFinancialStatem ends
As of and forth Yearned Deem ber31
Required by Louisiana Revised Statutes 24:513 and 24:514 to
Be
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Ljustic of form peayour is a legal document used to declare one's assets and liabilities.
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